Healthcare Provider Details

I. General information

NPI: 1073420030
Provider Name (Legal Business Name): ALLIANCE BEHAVIORAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2429 W PARRISH AVE
OWENSBORO KY
42301-2661
US

IV. Provider business mailing address

2429 W PARRISH AVE
OWENSBORO KY
42301-2661
US

V. Phone/Fax

Practice location:
  • Phone: 270-929-0014
  • Fax:
Mailing address:
  • Phone: 270-929-0014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SASHA RENEE NIES
Title or Position: MEMBER/OWNER
Credential: APRN, FNP-C
Phone: 270-929-0014